Medial collateral ligament desmitis of the distal interphalangeal joint in the hindlimb of a horse: treatment with cast immobilisation

Trope, GD; Whitton, R. C.

doi:10.1111/j.1751-0813.2009.00518.x

Cited by 5 publications

(6 citation statements)

References 16 publications

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“…Desmopathies involving CL-DIPJ are usually presented as acute lameness from scores 1 to 4 out of 5, with no painful response to hoof sensitivity test (MCDIARMID, 1998). Lameness presents improvement after perineural blocking of the palmar digital nerve in the abaxial sesamoid region (TROPE; WHITTON, 2009) and is characterized by being refractory to treatment with intraarticular corticosteroids (TURNER;SAGE, 2002;ZUBROD et al, 2005). Affected animals may show tumefaction in the ligament region and/or distention of the distal interphalangeal joint capsule (DYSON et al, 2004).…”

Section: Introductionmentioning

confidence: 99%

“…After washing with soap and water, trichotomy was performed on the dorsolateral and dorsomedial faces of both thoracic limbs, extending approximately three centimeters above the coronary band. Ultrasonographic evaluation of lateral and medial collateral ligaments of the distal interphalangeal joint was performed by the same evaluator only in the thoracic limbs since CL-DIPJ of pelvic limbs are rarely affected (TROPE; WHITTON, 2009). An ultrasound Chison 8300VET, with a linear probe and a standoff pad, was used with a frequency of 6.0 MHz.…”

Section: Introductionmentioning

confidence: 99%

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Mensuração ultrassonográfica dos ligamentos colaterais da articulação interfalangeana distal de equinos da raça Crioula

Góss

2018

SCA

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Criollo horses were used in the past only for field services, especially countryside work. However, currently, they have been used as sports animals in several modalities involving turns in legs and exercises on irregular terrain, predisposing them to injuries in the distal extremity. Among the alterations recognized as cause of lameness in this region are the conditions related to collateral ligaments of the distal interphalangeal joint (CL-DIPJ), which in horses are structures that help to maintain joint stability and suffer a high pressure due to the high body weight, especially when it is not equally distributed at the stance phase. Considering the importance of the ultrasound anatomical knowledge of this structure for the early diagnosis of locomotive affections in the digit of Criollo horses, this study aimed to standardize CL-DIPJ measurements in healthy horses of this breed. We used 25 adult Criollo horses not submitted to sports practice. For ultrasonographic evaluation, after a trichotomy of the region, an ultrasound Chison 8300VET and a 6.0 MHz linear probe were used with a standoff pad. This technique uses a cross-sectional view, in which CL-DIPJ is visualized in the distal concavity portion of the middle phalanx, being a standard for the measurements. For ligament measurements, the variables dorsopalmar diameter (DPD), latero-medial diameter (LMD), and cross-sectional area (CSA) of ligaments were used. Three measurements were performed for each variable and average values were obtained, which were compared to each other and did not present significant differences (p > 0.05). The average measurements of diameter and area of collateral ligaments of the distal interphalangeal joint in Criollo horses were 9.04 mm for DPD, 7.55 mm for LMD, and 0.52 mm2 for CSA. This was the first study that standardized the size of this structure in this breed.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Mensuração ultrassonográfica dos ligamentos colaterais da articulação interfalangeana distal de equinos da raça Crioula

Góss

2018

SCA

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“…In addition, the total infiltration of 2.5 mL of PRP has been previously described as the intralesional volume applied that achieved good results [12] and proved to be suitable for this case. Ultrasound-guided infiltration allowed the PRP injection to be administered correctly in the lesion, excluding the possibility of incorrect needle position, as reported by Lewis et al [11] Since the recovery time was shorter than that recorded in other cases of desmitis of the CL-DIP joint treated with corrective farriery [7], with cast immobilization [16], or in cases where PRP was used in combination with shoeing [20], it can be inferred that the use of PRP was an important therapeutic element in this case.…”

Section: Discussionmentioning

confidence: 86%

Use of Platelet-rich Plasma in the Treatment of Desmitis of Distal Interphalangeal Joint Collateral Ligament in a Horse

Góss

Döwich

Machado

et al. 2019

Acta Scientiae. Vet.

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Background: Platelet-rich plasma (PRP) has been increasingly used to hasten healing of tendonitis and desmitis, allowing horse athletes to go back to practicing sports in a shorter period of time. However, its use has rarely been reported in the treatment of desmitis of the collateral ligaments of the distal interphalangeal joint (CL-DIP), which is based on the use of horseshoes and rest for at least six months. This paper describes the use of PRP as an aid in the treatment of CL-DIP in a horse athlete. Case: A male Criollo horse, 450 kg, about 15-year-old, used for paleteada. The animal had a month-long history of lameness, and a visual inspection revealed an increase in volume in the lateral dorsal region of the limb proximal to the coronary band of the hoof. A specific examination of the locomotive system showed Grade III, Category 5 claudication, which became evident the beginning of the exercise and ceased after a short period. A radiographic evaluation of the distal phalanx revealed no clinically relevant changes. Therefore, and in view of the location of the increased volume, an ultrasound scan was performed, which showed an image compatible with an extensive hematoma in the region underlying the perioplic corium, while the CL-DIP presented swelling with large areas of hypoechogenicity. Considering the findings of the image, the physical examination and the history of the horse, desmitis of the collateral ligaments of the distal interphalangeal joint was diagnosed. The treatment plan consisted of rest, application of a therapeutic horseshoe, and infiltration of the lesion with platelet-rich plasma (PRP). First, however, warm compresses were applied to reduce the swelling. The PRP was obtained by collecting whole blood from the external jugular vein, subjecting it to double centrifugation, and separating the supernatant blood plasma. The end product was applied to the lesion by ultrasound-guided infiltration. The horseshoe was a model with extended side bar, i.e., an egg bar horseshoe. After 15 days of PRP infiltration, another ultrasound scan was performed, which showed improved echogenicity of the ligament. The animal was discharged, and rest and the use of the horseshoe for 6 months were recommended. However, the owner expressed interest in having his horse participate in a high level team roping event, which was slated to take place two months hence. In view of this plan, rest was recommended for a further 15 days, followed by a gradual return to the exercise until the moment of the competition, which should be interrupted if the animal displayed any sign of lameness. The animal performed well in the competition, showing no loss of performance due to locomotor changes. Discussion: Locomotor disorders in the digit region are common in Creole horses, and one of the affected structures in this area is the CL-DIP. Desmitis of this ligament is characterized by acute claudication in animals without radiographic abnormalities, and can be diagnosed based on ultrasound scans. The main cause of this disorder stem...

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“…Foot pain is a common cause of lameness in horses, and the aetiology can be difficult to diagnose. In this case, a 12‐year‐old show‐jumping mare presented with a chronic hindlimb lameness of 16 weeks duration 7 . The lesion was localised to the medial collateral ligament of the distal interphalangeal joint of the left hindlimb using perineural anaesthesia and ultrasonography.…”

Section: Cast Immobilisation For Medial Collateral Ligament Desmitis mentioning

confidence: 99%

“…In this case, a 12-year-old showjumping mare presented with a chronic hindlimb lameness of 16 weeks duration. 7 The lesion was localised to the medial collateral ligament of the distal interphalangeal joint of the left hindlimb using perineural anaesthesia and ultrasonography. Collateral ligament desmitis of the distal interphalangeal joint is a commonly diagnosed condition of the forelimb; however, hindlimb collateral ligament desmitis has been rarely reported.…”

Section: Cast Immobilisation For Medial Collateral Ligament Desmitis mentioning

confidence: 99%

In this issue – December 2009

Jackson¹

2009

Aust Veterinary J

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Medial collateral ligament desmitis of the distal interphalangeal joint in the hindlimb of a horse: treatment with cast immobilisation

Cited by 5 publications

References 16 publications

Mensuração ultrassonográfica dos ligamentos colaterais da articulação interfalangeana distal de equinos da raça Crioula

Mensuração ultrassonográfica dos ligamentos colaterais da articulação interfalangeana distal de equinos da raça Crioula

Use of Platelet-rich Plasma in the Treatment of Desmitis of Distal Interphalangeal Joint Collateral Ligament in a Horse

In this issue – December 2009

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